Endoscopy-Assisted Laparoscopic Resections for Gastric Gastrointestinal Stromal Tumors: A Retrospective Study

Huang, Jian; Zheng, Zongheng; H, Wei; Chen, Tufeng; Liu, Jian-Pei; Huang, Yong; Wei, Bo; Fang, Jiafeng

doi:10.1089/lap.2016.0068

Cited by 9 publications

(11 citation statements)

References 21 publications

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“…LCES makes up for the shortcomings of a single surgical method. Huang et al (63) reported that the endoscopy-assisted laparoscopic resection group was superior to the laparoscopy group, in terms of a shorter operation time, decreased intraoperative bleeding, short postoperative intestinal function recovery time, and a shortened length of hospitalization (P<0.05). For tumors <30 mm in diameter, a modified LECS technique called 'closed LECS' was created by Kikuchi et al (59) to avoid the potential risk of gastric contents or tumor cells spilling into the abdominal cavity.…”

Section: Treatmentmentioning

confidence: 99%

Current status of the diagnosis and treatment of gastrointestinal schwannoma (Review)

Zhou

Yang

et al. 2021

Oncol Lett

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Gastrointestinal schwannoma is a rare, slow-growing and benign tumor that mostly originates in the Auerbach myenteric nerve plexus in the gastrointestinal tract. The clinical manifestations may be associated with the location, size, differentiation type, and degree of malignancy of the tumor. Endoscopy, ultrasound and imaging examinations serve an important auxiliary role in the clinical identification, diagnosis and differential diagnosis of lesions; assessment of risk; and preparation for surgery. S-100 positivity is a hallmark of schwannoma. CD34, CD117, discovered on GIST-1, P53, ALK, β-catenin, smooth muscle actin and Desmin negativity are helpful for the identification of other gastrointestinal stromal tumors. Surgical removal of the tumor is the main treatment for schwannoma. Benign gastrointestinal schwannoma has a good prognosis without recurrence and metastasis; malignant transformation is extremely rare and has a poor prognosis. Contents 1. Introduction 2. Pathogenesis 3. Clinical features 4. Common auxiliary examinations and characteristics 5. Pathological characteristics 6. Differential diagnosis 7. Treatment 8. Prognosis 9. Conclusion Current status of the diagnosis and treatment of gastrointestinal schwannoma (Review)

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Section: Treatmentmentioning

confidence: 99%

Current status of the diagnosis and treatment of gastrointestinal schwannoma (Review)

Zhou

Yang

et al. 2021

Oncol Lett

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“…The EATR procedure involves opening the gastric wall under the direct view of an endoscope, tagging the tumor with a laparoscopic suture, and performing wedge resection with a laparoscopic stapler [ 2 18 19 20 21 22 ]. The purpose of endoscopy is to assist surgeons in obtaining the proper position when they incise the stomach wall.…”

Section: Lecs Procedures For Benign Gastric Tumorsmentioning

confidence: 99%

Choice of LECS Procedure for Benign and Malignant Gastric Tumors

2021

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Laparoscopic endoscopic cooperative surgery (LECS) refers to the endoscopic dissection of the mucosal or submucosal layers with laparoscopic seromuscular resection. We recommend a treatment algorithm for the LECS procedure for gastric benign tumors according to the protruding type. In the exophytic type, endoscopic-assisted wedge resection can be performed. In the endophytic type, endoscopic-assisted wedge resection of the anterior wall is relatively easy to perform, and endoscopic-assisted transgastric resection, laparoscopic-assisted intragastric surgery, or single-incision intragastric resection in the posterior wall and esophagogastric junction (EG Jx) can be attempted. We propose an algorithm for the LECS procedure for early gastric cancer according to the tumor location. The endoscopic submucosal dissection (ESD) procedure can be adapted for all areas of the stomach, and single-incision ESD can be performed in the mid to high body and the EG Jx. In full-thickness gastric resection, laparoscopy-assisted endoscopic full-thickness resection can be adapted for the entire area of the stomach, but it cannot be applied to the pyloric and EG Jx. In conclusion, surgeons need to select the LECS procedure according to tumor type, tumor location, the surgeon's individual experience, and the situation of the institution while also considering the advantages and disadvantages of each procedure.

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“…20,21 This condition occurs when GIST from the GI metastasizes in an abnormal way to the abdominal wall. 17,22 A doctor, therefore, may think of GIST when there is a combination of symptoms including abdominal pain, nausea, and heartburn.…”

Section: Doctors' Exclusion Of More Common Causesmentioning

confidence: 99%

Gastric GIST: When Can We Think About It?

Mantese

2019

Int J Med Rev

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Introduction About GIST in Special Gastric GIST A gastrointestinal stromal tumor (GIST) is a soft tissue sarcoma which grows as loose tissue and spreads across the gastrointestinal (GI) track. The tumor is not common, occuring in less than 1% of GI tumors, although it is the most common mesenchymal neoplasm to affect the GI tract. 1,2 Sarcoma can occur anywhere along the GI, but it is common in the stomach and small intestine. The tumor varies in characteristics depending on the location, size, and cell division. Tumor size can vary between 4 mm and 35 cm. 1 The characteristics determine whether the GIST expands to other areas of the body. GISTs occur in the interstitial cells of Cajal (ICC), also called the "pacemakers". 3,4 The cells belong to the autonomic nervous system, which is responsible for regulating processes of the body like food digestion. ICCs signal the GI to contract and relax the muscles to allow food and other liquids to flow. 5 Although there is not much information about the risk factors of GIST, it is known to affect people between the ages of 40 and 80 years. 6 Also, there is a rare uninherited risk factor, a gene mutation, which increases the chance of a person developing GIST. Another risk factor is the primary familial GIST syndrome, an inherited condition. 1 The syndrome can lead to the development of GIST at an earlier age than the expected 40 years and in more than one form. Primary familial GIST syndrome originates from KIT, an abnormal gene that a child inherits from parents. 7 The abnormal gene is found in all cells of those people who inherit it and in cancer cells for those with sporadic GIST. The syndrome can also

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Endoscopy-Assisted Laparoscopic Resections for Gastric Gastrointestinal Stromal Tumors: A Retrospective Study

Abstract: For GIST patients who attempted to receive gastrectomy, endoscopy-assisted laparoscopic resections showed advantages on the operation time, bleeding volume, and recovery time and are suggested as a better alternative for GISTs.

Cited by 9 publications

References 21 publications

Current status of the diagnosis and treatment of gastrointestinal schwannoma (Review)

Current status of the diagnosis and treatment of gastrointestinal schwannoma (Review)

Choice of LECS Procedure for Benign and Malignant Gastric Tumors

Gastric GIST: When Can We Think About It?

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